# TALLAHASSEE ORTHOPEDIC CLINIC III, P.L.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tallahassee Orthopedic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043074644
- **Authorized official:** ALLISON POWELL (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (850) 877-8174

## Contact information

- **Practice address:** 2011 HARRISON AVE, PANAMA CITY, FL 32405-4545
- **Practice address phone:** (850) 691-4188
- **Practice address fax:** (833) 687-1451
- **Mailing address:** 3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
- **Mailing address phone:** (850) 877-8174
- **Mailing address fax:** (844) 261-6839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2024
- **Last updated:** 02/13/2024